The World Health Organization has designated the last week of June each year as “Urinary Incontinence Week”. Urinary incontinence is a common occurrence, most often in middle-aged and older women over the age of 45. Transvaginal interruption slinging can cure more than 95% of incontinence in middle-aged and older adults. Urinary incontinence makes the private parts “embarrassing”: the symptoms of incontinence are adults in involuntary situations by the urethra out of urine. Professor Liang Yue-you said incontinence may seem like a small problem, but it is a symptom of a disease. There are many causes of urinary incontinence. When the bladder neck and urethral sphincter cannot close properly, or when the bladder muscle reflexes are excessive and contract strongly before reaching normal capacity, it can lead to incontinence. If men suffer from diseases such as prostate disease can also cause abnormal urination, leading to incontinence. Incontinence is not only embarrassing for middle-aged and elderly people, but it can also indicate other diseases such as brain, spinal cord, bladder or prostate tumors. If incontinence is not handled promptly, it can easily cause rashes, skin infections and ulcers on the perineum and lower abdomen and thigh roots, as well as urinary tract infections, bladder stones and bilateral kidney function. Four major symptom types of urinary incontinence: urinary incontinence according to the etiology of classification, clinical incontinence according to the cause can be divided into stress urinary incontinence, urge incontinence, filling incontinence and true incontinence, and called the “four vajra. Among them, stress incontinence and urge incontinence are the most common, and the two may coexist and are easily confused, and must be examined in detail for differential diagnosis. The first type of stress incontinence is divided into three grades according to the severity of the condition. The first grade is urinary incontinence only under heavy stress (e.g., when coughing, sneezing, lifting heavy objects); the second grade is urinary incontinence that occurs whenever the state is under mild stress such as walking, standing, or shopping; and the third grade is incontinence that occurs regardless of activity or position. The second type of urge incontinence is incontinence caused by the patient losing the ability to control the contraction of the detrusor muscle. This type of urinary incontinence occurs with an urgency to urinate independent of the amount of urine in the bladder. Its causes are mainly diseases such as cystitis, urethritis, bladder stones, tumors and certain neurological lesions in the body. The third type is filling incontinence, when there is a large amount of urine retained in the bladder, so that the bladder overflows and a small amount of urine overflows from the urethra, or when the patient has a sense of urination when there is still a large amount of urine in the bladder after urination. The cause of overflow urinary incontinence is partial obstruction of the lower part of the urinary tract that makes urination difficult or neurological disorders that make the bladder paralyzed. The fourth type of true incontinence, which is relatively rare, is caused by trauma, surgery and other factors that severely damage the urethral sphincter, causing it to lose its elasticity and ability to close. Incontinence is difficult to cure, from people’s “misunderstanding” of incontinence deep: as some patients do not urinate the volume of urine is not very large, that the consequences are irrelevant, which is actually a “misunderstanding” of incontinence, patients suffering from incontinence should receive timely treatment. People’s misunderstanding of incontinence are: misunderstanding one: incontinence can not do anything about it. Correct: In fact, through behavioral training, assistive devices, drugs or surgery, so that the vast majority of incontinence patients incontinence symptoms significantly improved, or even cured. Myth 2: Incontinence is a natural phenomenon that occurs as we age. Correct: Incontinence is an abnormal phenomenon at any age, and the changes in the lower urinary tract associated with aging make incontinence more likely to occur in older patients. Myth 3: The only successful treatment for urinary incontinence is surgery. Correct: However, the vast majority of patients can be cured by non-surgical methods. Myth 4: Incontinence is inevitable in women who give birth. Correct: Vaginal delivery may result in damage to or decreased tone of the pelvic floor muscles, but incontinence is by no means inevitable. Purposeful exercise can prevent or improve incontinence symptoms. Myth #5: Occasional small amounts of urine leakage, such as when sneezing or coughing, are okay and not worth a hospital visit. Correct: Urinary incontinence, no matter how mild or severe, requires prompt medical attention. Transvaginal interruption slinging resolves 95% of incontinence symptoms vary in severity and treatment, and patients should choose a treatment plan based on the cause and severity of their condition. Most patients with mild stress incontinence can exercise the periurethral muscles that control urination and the pelvic floor muscles that assist in urination with Kegel exercises. Clinical data show that 50% to 75% of patients can have their symptoms reduced or cured. In the following way, the patient self-identifies the position of the pelvic floor muscles. Feel the squeezing sensation of the muscles around the urethra and rectum, close your eyes, relax your body, then contract the muscles for 3 seconds, then relax for 3 seconds. Insist on doing 3 to 8 sets of 10 reps each day. To enhance the effect of pelvic floor muscle exercise, vaginal cone assisted exercise can be added. For postmenopausal elderly female patients, a certain amount of estrogen can be supplemented to increase the tone of the pelvic floor muscles and promote the proliferation of the urethral mucosa to enhance the control of urine. Progestin is taken along with estrogen medication. Patients who are not treated by the above methods can choose to be treated by transvaginal interruption sling surgery. Director Liang Yueyou said that the clinical cure rate of patients with urinary incontinence treated by transvaginal interruption sling surgery is up to 95 percent or more. Patients with urge incontinence can be regulated through diet and lifestyle. Avoid caffeinated foods and medications, limit alcohol or foods containing artificial sweeteners; make sure you drink 2 to 3,000 milliliters of water a day and don’t hold your urine; keep a urinary diary and drink less before bedtime to keep bowel movements open. If the incontinence is caused by infection, you can take appropriate antibiotics and drugs that inhibit bladder contraction, and drink more water to avoid excessive tension and stress; men with urge incontinence due to prostate enlargement can be treated with drugs or surgery. For patients with intractable urge incontinence, a “urinary pacemaker” can be used to continuously inhibit the contraction of the bladder’s forceps and reduce the frequency of urination. Patients with early filling incontinence can be treated with medication, or consider surgery to release the obstruction, or self-interrupted catheterization; for those caused by neurological lesions, the sphincter can be cut or interrupted self-catheterization can be taken. For true urinary incontinence, there is no good treatment. Male patients can consider the use of external penile urinary collection devices or penile clips to control urination, and female patients can use adult diapers.